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How to Plan for Retirement Taxes as a Physician

Retirement should be a time to enjoy the rewards of a long and successful medical career. However, without proper planning, retirement taxes can significantly reduce your savings, leaving you with less money than expected for living expenses, travel, and legacy planning. Physician taxes can be complex, and understanding how to manage withdrawals, minimize tax burdens, and plan for estate taxes is essential for protecting your wealth.

In this blog, we’ll discuss key tax strategies for retirement planning, including how different retirement accounts are taxed, how to optimize withdrawals, and how to use Roth conversions to lower taxes over time. By taking a proactive approach, physicians can keep more of their hard-earned money and create a retirement plan towards maximizing financial security.

Understanding How Retirement Income Is Taxed

Physicians often accumulate wealth in multiple types of retirement accounts, each with different tax rules. Knowing how withdrawals are taxed is the first step in creating a smart financial plan.

How Different Retirement Accounts Are Taxed

●       Traditional 401(k)s and IRAs: Contributions are tax-deferred, meaning you don’t pay taxes on them upfront. However, withdrawals in retirement are taxed as ordinary income, which can lead to hefty tax bills.

●       Roth 401(k)s and Roth IRAs: These accounts use after-tax contributions, so while you pay taxes now, withdrawals in retirement are completely tax-free as long as you meet the qualifications.

●       Taxable Investment Accounts: Gains from investments in brokerage accounts are subject to capital gains taxes, which vary depending on how long you hold the asset before selling.

Required Minimum Distributions (RMDs) and Their Tax Implications

One of the biggest surprises for retirees is Required Minimum Distributions (RMDs). If you have a traditional 401(k) or IRA, you’re required to start withdrawing funds (and paying taxes on them) at age 73.

●       RMDs are taxed as ordinary income, which can push you into a higher tax bracket.

●       If you fail to take RMDs, the IRS charges a 25% penalty on the amount you should have withdrawn.

●       Larger RMDs can also increase your Medicare premiums and taxes on Social Security benefits.

To avoid an unnecessary tax hit, planning around RMDs is key.

Tax-Efficient Withdrawal Strategies for Physicians

The way you withdraw funds from your retirement accounts can significantly impact how much tax you pay over time. Structuring withdrawals properly can help minimize tax burdens and stretch your savings further.

The Order of Withdrawals for Minimizing Taxes

Withdrawing from the right accounts at the right time can prevent large tax bills in later retirement years. Here’s how you might approach withdrawals:

●       Start with taxable investment accounts: Using these funds first allows tax-advantaged accounts to keep growing.

●       Use Roth withdrawals later: Since Roth withdrawals are tax-free, saving these for later years can help manage overall taxable income.

●       Tap traditional 401(k)/IRA withdrawals last: Delaying taxable withdrawals helps reduce tax liability unless RMDs require withdrawals.

Blending Withdrawals for Tax Optimization

●       Mixing taxable and tax-free withdrawals can help control how much taxable income you report each year.

●       Using Roth withdrawals in high-tax years can help prevent you from jumping into a higher tax bracket.

●       Strategically spreading withdrawals can help manage tax brackets, reducing long-term tax burdens.

Retirement planning for doctors requires smart tax strategies to maximize savings and reduce unnecessary tax burdens. Learn how PRS can help you develop a customized plan that aligns with your financial goals and long-term security. 

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Using Roth Conversions to Lower Retirement Taxes

Roth conversions can be a powerful tool for reducing retirement taxes over time, especially for physicians with large tax-deferred accounts.

How Roth Conversions Work

A Roth conversion involves moving money from a Traditional IRA or 401(k) into a Roth IRA. While you pay taxes upfront on the converted amount, future withdrawals are completely tax-free.

●       This strategy can reduce RMDs later in retirement, lowering taxable income.

●       Once converted, funds grow tax-free and remain untouched by future tax rate changes.

●       Strategic timing is important—converting too much at once can push you into a higher tax bracket.

When Physicians Should Consider Roth Conversions

●       Early retirement years before RMDs begin: Lower income years provide a good window for tax-efficient conversions.

●       During market downturns: Converting when asset values are lower means a smaller tax hit.

●       For estate planning: Roth IRAs are tax-free for heirs, making them a great way to pass down wealth.

Avoiding Penalties on Early Withdrawals

Physicians who retire early or need to access retirement funds before age 59½ need to carefully plan to avoid penalties.

Key Early Withdrawal Rules

●       Traditional retirement accounts charge a 10% penalty on early withdrawals, plus regular income taxes.

●       Roth IRAs allow contributions (but not earnings) to be withdrawn tax- and penalty-free anytime.

Penalty-Free Strategies for Early Retirement

●       Substantially Equal Periodic Payments (SEPPs): Allows structured withdrawals without penalties by following IRS-approved withdrawal schedules. These payments must continue for at least five years or until age 59½, whichever is longer, to avoid penalties.

●       Roth Conversion Ladder: Moving funds to a Roth IRA over time allows penalty-free access after five years, making it a great option for physicians planning an early retirement. Each conversion starts its own five-year clock, so careful planning ensures a steady stream of tax-free withdrawals.

●       Using Non-Retirement Accounts First: Helps avoid early withdrawal penalties and tax surprises by tapping into taxable brokerage or savings accounts before touching retirement funds. This strategy allows tax-advantaged accounts to continue growing while reducing taxable income in the early years of retirement.

Estate Planning Considerations for Retirement Taxes

Physicians with substantial assets must also consider estate taxes and wealth transfer strategies.

Minimizing Tax Burdens for Heirs

●       Roth IRAs are tax-free for beneficiaries, making them an ideal estate planning tool.

●       Traditional IRAs require heirs to withdraw all funds within 10 years, which can create big tax burdens.

●       Using trusts and charitable giving can help reduce estate tax liabilities.

Common Tax Mistakes Physicians Make in Retirement

Even with careful planning, some mistakes can result in unnecessary taxes:

●       Delaying Roth conversions too long: This can limit opportunities to reduce taxable RMDs.

●       Not factoring in state taxes: Some states tax retirement income more than others.

●       Ignoring Medicare premium brackets: Higher taxable income can lead to increased Medicare costs.

Avoiding these pitfalls can help physicians keep more of their retirement savings.

Take Control of Your Retirement Tax Strategy With Physician’s Resource Services

Taxes in retirement don’t have to be a burden if you plan ahead. With smart withdrawal strategies, Roth conversions, and estate planning, physicians can reduce taxes and protect their wealth.

At Physician’s Resource Services, we provide guidance to help doctors make informed decisions about physician taxes and retirement planning. Whether you need to manage RMDs, minimize tax exposure, or build a legacy plan, PRS can help.

Contact our team today to explore retirement tax strategies tailored to your financial goals.

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Robin Bales – AGENT

Robin has owned a Commercial Leasing Company providing financing to doctors and other operators for their equipment beginning in 2007. After the global crash of 2008, she went to work for NYL and spent 3 years there working with other entrepreneurs securing their retirement future and safeguarding their personal asset risks. Robin opened her own agency in 2017 Legacy by Design and has run a national firm coast to coast with 50-70 agents. Today the agency is much smaller serving 5 agents who share the same vision and passion for our clients focusing on health insurance, Medicare, and annuities.

Robin is most connected to ethos of PRS mission to improve the lives of doctors and their families. Supporting those who run the leading infrastructure of our country.

Robin has been married for 22 years to her husband Steven. Together they have 3 girls and have built a family with strong values and commitment to each others successes. Robin’s family are home bodies by nature and enjoy their 3 dogs hanging in living room or kitchen.

Kevin Burris – PARAPLANNER

Kevin received his BA and MBA from Indiana University, earned the Certified Financial Planner (CFP) designation from the University of Georgia, and Retirement Income Certified Professional (RICP) designation from the American College. Kevin is looking forward to helping physicians live their best life. Kevin enjoys spending time on the lake with his wife, playing golf, and watching Indiana University sports.

Michael Kohles – AGENT

Michael attended Lake Michigan College and Siena Heights University, graduating magna cum lade with a Bachelor of Business Administration, with a major in Finance and minor in Marketing. Michael has been in the financial services industry since 2015 and has experience with multiple insurance verticals. Michael is excited to help physicians achieve their financial goals by providing insurance solutions. Michael is married to Erin and has 4 children. Michael also enjoys reading, golfing, playing poker, learning, and traveling.

Erin Kohles – UNDERWRITING PROCESSOR

Erin supports our advisors and clients during the insurance underwriting process in multiple ways. On a given day, she helps by processing applications, tracking and following up on open cases, and answering client questions. She appreciates the part she plays in helping clients prepare for the future, and she strives to make the process as simple and efficient as possible.

Erin has been in the insurance industry for two years and brings with her six and eight years of experience in accounting and quality control, respectively. She graduated from Ball State University and has her life & health and property & casualty insurance licenses. In her free time, she enjoys cheering on her two boys who play basketball, soccer, and baseball; traveling with her husband; and playing with their Yorkie, Mingo.

Gabriela Chavez – ANALYST

At Physicians Resource Service Gabby plays a pivotal role in Paul’s advisory team, staying in close contact with clients, driving business development, and lending a hand in daily operational tasks. Additionally, she collaborates with CPA Erin Anderson to prepare tax returns, conduct withholding reviews and undertake various tasks across the division.

Gabby is currently double-majoring in accounting and finance at the University of the Incarnate World in San Antonio, and she plans to sit for her Certified Financial Planning exam in the fall of 2022. Before transferring to UIW, she attended the University of Texas Rio Grande Valley in Edinburg, Texas. Gabby was born in Germany and is Mexican American. She loves to travel and has visited 11 different countries. She has a five-year-old pug named Penny.

Erin Anderson – CERTIFIED PUBLIC ACCOUNTANT

As a certified public accountant, Erin is a valuable part of our tax division at PRS. She enjoys working with our advisors to develop tax-efficient strategies, and she strives to provide clarity for every client she serves. Erin started her career as an accountant after graduating from Oklahoma State University in 2012 with a master’s degree. She earned her CPA license in 2018. Erin and her husband have two little boys, and they love spending time outdoors as a family and watching OSU football.

Alex Simmons – BUSINESS DEVELOPMENT

Alex oversees Business Development at Physician’s Resource Services. She works with each department to assist in continually improving PRS so we remain a leading competitor in the industry. Alex graduated from Texas Tech University with a Bachelor of Business Administration in Energy Commerce. She is a Texas native who loves to spend her free time traveling and taking her pup, Teddi, to the dog park.

Karli Allen – HEAD OF WEALTH MANAGEMENT

Karli is a graduate of The Master’s University in Santa Clarita, CA, and has a business degree with emphases in accounting, finance, and management. Karli has been in the financial services industry since 2014 and joined the PRS team in 2018.

Karli oversees investment and financial planning operations and assists with the onboarding and service of the firm’s advisory clients.  Karli was a key part of our firm’s custodial transition to Fidelity in 2019 as part of our decision to become an independent investment advisory firm.  Before joining PRS, Karli worked in personal financial planning in Orange County, California.  She also holds a FINRA Series 65 license. Karli is grateful to be a part of such an amazing team.

Outside of work, Karli enjoys traveling, playing golf, and spending time with her husband and their goldendoodle.

Jennifer Khan- UNDERWRITING SPECIALIST

Jennifer is an Underwriting Specialist at Physician’s Resource Services, with an extensive background in customer service and administration. Jennifer grew up in Texas, graduated from Southeast Missouri State University with a BFA in Theatre, and spent six years in Chicago performing sketch and improv. She is a graduate of the Conservatory Program at The Second City and iO Chicago. Jennifer and her husband, Qamar, moved to Texas with their dachshund mix, Dobby, to be closer to family, sunshine, and good BBQ.

Cheryl Breeden – OFFICE MANAGER

Cheryl is the Business Manager for the firm and a licensed service assistant. She graduated from the University of Texas at Austin with a Bachelor’s Degree in Business Administration. She has years of experience in the areas of process management, customer service, benefits, and insurance. Cheryl has three girls — Ashley, Hannah, & Olivia. She brings this experience to our firm where she manages the underwriting and service process. She also manages the business operations for the firm.

John C. Jackson IV – ASSOCIATE FINANCIAL CONSULTANT

John is an agent from Austin, TX, a graduate of Westlake High School and The University of Texas at Austin, with a Bachelor’s Degree in Economics and a Minor in Business Administration. While at UT, John was a 2-Time Captain and 4-Time All-Conference performer for the men’s lacrosse team. While away from the office, John coaches with the Westlake Youth Lacrosse program and volunteers with Austin’s Young Men’s Business League, and Austin Sunshine Camps.

Chris Fullbright – FINANCIAL ADVISOR

Chris brings experience in financial services and the perspective of a successful entrepreneur who has launched several businesses. With over a decade in the industry, he has served as both an advisor and in a management role coaching new advisors. Chris attended the University of Georgia and Texas State University and graduated with a Bachelor of Applied Arts and Sciences.

He currently holds many financial services licenses and designations including FINRA Group One, Series 6, Series 63, Series 65, Series 7, ARPC, and Certification in Long Term Care (CLTC). In his free time he enjoys being involved in the local community through organizations such as Comfort Crew for Military Kids. Chris is also an active member of Austin Christian Fellowship Church, and enjoys spending time there as well as reading, fishing, and going to sporting events. He is happily married to Monique with two wonderful sons. In addition to serving physicians, Chris specializes in working with special needs families.

Paul Smith, CFP® ChFC® MSFS – FINANCIAL ADVISOR

Paul has helped his clients in financial, business, and estate planning for over 10 years. Paul is a graduate of Texas State University, with a Bachelor’s Degree in Psychology. He has also completed the extensive studies necessary to earn the Certified Financial Planners (CFP®) and Chartered Financial Consultant (ChFC®) designations. Paul is actively involved in the community through his volunteer work and service on Community Action Board for the Helping Hand Home for Children. Paul is married to Heather and they have two children, Nyla and Hazel.

Richard Cunningham – MANAGING DIRECTOR

For 30 years, Richard has been helping clients reach their financial goals with sincerity and integrity. He works with GME program administrators, individual physicians and their families to help doctors achieve financial security. Richard is a graduate of the University of Texas at Austin, with a Bachelor’s Degree in Economics. He studied in Paris at the Sorbonne. Richard supports numerous charitable organizations, is actively involved in Austin Recovery, and he participates in the Leukemia Lymphoma Society as a survivor of CML. Richard is married to Adrienne with two children, Raven and Coates.